CN116509859A - Use of lansoprazole for improving metabolism and treating obesity - Google Patents
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Abstract
Description
技术领域:Technical field:
本发明属于生物医药领域,特别涉及兰索拉唑在提高代谢、降低胰岛素抵抗和治疗肥胖症中的应用。The invention belongs to the field of biomedicine, and particularly relates to the application of lansoprazole in improving metabolism, reducing insulin resistance and treating obesity.
背景技术Background technique
随着城市化和经济的快速发展,全世界的肥胖率逐年增加,同时与肥胖相关的代谢疾病(如2型糖尿病、脂肪肝和高血压等)发病率也持续上升。因此有效地控制体重增长或改善肥胖症对于防治慢性代谢疾病尤为重要。棕色脂肪组织(brown adipose tissue)和米色脂肪组织(beige adipose tissue)激活后可以通过非颤栗产热耗能产生热量,从而改善能量代谢,并治疗肥胖及其相关的慢性代谢疾病。With rapid urbanization and economic development, the obesity rate worldwide is increasing year by year, and the incidence of obesity-related metabolic diseases (such as type 2 diabetes, fatty liver, and hypertension) continues to rise. Therefore, effective control of weight gain or improvement of obesity is particularly important for the prevention and treatment of chronic metabolic diseases. Brown adipose tissue (brown adipose tissue) and beige adipose tissue (beige adipose tissue) can be activated to generate heat through non-shivering thermogenic energy consumption, thereby improving energy metabolism and treating obesity and related chronic metabolic diseases.
目前兰索拉唑主要用于胃溃疡、十二指肠溃疡、反流性食管炎的治疗,但是未见兰索拉唑具有减重作用的文献公开发表。At present, lansoprazole is mainly used for the treatment of gastric ulcer, duodenal ulcer, and reflux esophagitis, but there is no published literature on lansoprazole having a weight loss effect.
发明内容Contents of the invention
本发明为解决现有技术中的问题,提供了兰索拉唑在激活棕色脂肪,降低受试者脂肪含量,提高胰岛素敏感性的用途。In order to solve the problems in the prior art, the present invention provides the use of lansoprazole in activating brown fat, reducing the fat content of subjects and improving insulin sensitivity.
本发明一个方面提供了兰索拉唑在制备降低受试者白色脂肪含量和或增加棕色脂肪含量的药物中的用途。One aspect of the present invention provides the use of lansoprazole in the preparation of a medicament for reducing the white fat content and/or increasing the brown fat content of a subject.
进一步地,所述的白色脂肪为白色内脏脂肪。Further, the white fat is white visceral fat.
进一步地,所述受试者为由于过量饮食或高脂饮食导致的肥胖。Further, the subject is obese due to overeating or high-fat diet.
本发明另一个方面提供了兰索拉唑在制备提高受试者胰岛素敏感性和或改善胰岛素抵抗的药物中的用途。Another aspect of the present invention provides the use of lansoprazole in the preparation of a drug for improving insulin sensitivity and/or improving insulin resistance of a subject.
进一步地,受试者为由于过量饮食或高脂饮食导致的肥胖受试者。Further, the subject is an obese subject due to overeating or high-fat diet.
进一步地,所述提高胰岛素敏感性为提高葡萄糖耐量和或提高胰岛素耐量。Further, said improving insulin sensitivity is improving glucose tolerance and/or improving insulin tolerance.
本发明又一个方面提供了兰索拉唑在制备提高受试者分解代谢储存的能量的药物中的用途。Yet another aspect of the present invention provides the use of lansoprazole in the preparation of a drug for increasing catabolic stored energy of a subject.
本发明再一个方面提供了兰索拉唑在制备治疗慢性代谢疾病的药物中的用途。Another aspect of the present invention provides the use of lansoprazole in the preparation of medicines for treating chronic metabolic diseases.
进一步地,所述的慢性代谢疾病选自肥胖引起的II型糖尿病、脂肪肝,心脑血管疾病、胆囊疾病、睡眠障碍或癌症。Further, the chronic metabolic disease is selected from type II diabetes caused by obesity, fatty liver, cardiovascular and cerebrovascular diseases, gallbladder diseases, sleep disorders or cancer.
本发明再一个方面提供了兰索拉唑在制备棕色脂肪中产热相关基因UCP-1、PRDM-16或DIO2的激动剂中的用途。Another aspect of the present invention provides the use of lansoprazole in the preparation of agonists of the thermogenesis-related genes UCP-1, PRDM-16 or DIO2 in brown fat.
本发明再一个方面提供了兰索拉唑在制备治疗肥胖症、促进体重减轻的药物中的用途。Another aspect of the present invention provides the use of lansoprazole in the preparation of medicines for treating obesity and promoting weight loss.
本发明再一个方面提供了一种提高受试者胰岛素敏感性或降低受试者脂肪含量的药物组合物,所述药物组合物中以兰索拉唑作为活性成分。Another aspect of the present invention provides a pharmaceutical composition for improving insulin sensitivity of a subject or reducing fat content of a subject, wherein lansoprazole is used as an active ingredient in the pharmaceutical composition.
本发明再一个方面提供了一种降低受试者脂肪含量、治疗肥胖症、促进体重减轻的方法,所述方法包括给予受试者有效量的兰索拉唑。Another aspect of the present invention provides a method for reducing fat content of a subject, treating obesity, and promoting weight loss, the method comprising administering an effective amount of lansoprazole to the subject.
本发明再一个方面提供了一种高受试者分解代谢储存的能量、提高受试者胰岛素敏感性或提高受试者棕色脂肪比例的方法,所述方法包括给予受试者有效量的兰索拉唑。Still another aspect of the present invention provides a method for increasing the energy stored by catabolic metabolism of the subject, improving the insulin sensitivity of the subject or increasing the brown fat ratio of the subject, the method comprising administering to the subject an effective amount of Lansol Larazole.
有益效果:本发明和现有技术相比,具有以下显著特点: Beneficial effect: compared with the prior art, the present invention has the following remarkable features:
本发明首次发现了兰索拉唑在代谢方面的用途,证明了兰索拉唑能够在不影响食欲的前提下,降低高脂饮食受试者体重、内脏脂肪含量和脂肪体积,提高受试者的棕色脂肪比例、提高受试者胰岛素敏感性、提高产生基因的表达进而提高代谢效率。本发明的实验结果拓展了兰索拉唑的应用领域,有望成为减肥、提高代谢及提高受试者胰岛素敏感性的药物。The present invention first discovers the use of lansoprazole in metabolism, and proves that lansoprazole can reduce the body weight, visceral fat content and fat volume of subjects on a high-fat diet without affecting appetite, and increase the body weight of subjects on a high-fat diet. Increase the proportion of brown fat, improve the insulin sensitivity of the subjects, increase the expression of gene production and improve metabolic efficiency. The experimental result of the present invention expands the application field of lansoprazole, and is expected to become a medicine for losing weight, improving metabolism and improving insulin sensitivity of subjects.
附图说明Description of drawings
图1为高脂饮食(HFD)喂养小鼠溶剂组与兰索拉唑给药组的体重随给药时间变化。Fig. 1 is that the body weight of high-fat diet (HFD) feeds mouse vehicle group and lansoprazole administration group changes with administration time.
图2为HFD喂养小鼠溶剂组与兰索拉唑给药组给药后体重变化百分比。Fig. 2 is the body weight change percentage after administration of HFD mice vehicle group and lansoprazole administration group.
图3为HFD喂养小鼠溶剂组与兰索拉唑给药组进食量。Fig. 3 is the food intake of HFD feeding mice vehicle group and lansoprazole administration group.
图4为HFD诱导肥胖小鼠给药后棕色脂肪,腹股沟皮下脂肪,附睾脂肪的重量百分比。Figure 4 is the percentage by weight of brown fat, inguinal subcutaneous fat, and epididymal fat after administration of HFD-induced obese mice.
图5为CT测定溶剂组与兰索拉唑给药组脂肪体积,骨体积比较。Fig. 5 is the fat volume of CT measurement solvent group and lansoprazole administration group, bone volume comparison.
图6为溶剂组与兰索拉唑给药组葡萄糖耐量实验(GTT)。Fig. 6 is the glucose tolerance test (GTT) of solvent group and lansoprazole administration group.
图7为溶剂组与兰索拉唑给药组胰岛素耐量实验(ITT)。Fig. 7 is the insulin tolerance test (ITT) of solvent group and lansoprazole administration group.
图8为高脂饮食模型中溶剂组与兰索拉唑给药组小鼠棕色脂肪组织产热相关基因的表达。Figure 8 shows the expression of genes related to heat production in brown adipose tissue of mice in the solvent group and the lansoprazole administration group in the high-fat diet model.
具体实施方式Detailed ways
下面结合实施例对本发明作进一步的说明,但不应以此限制本发明的保护范围。The present invention will be further described below in conjunction with embodiment, but should not limit protection scope of the present invention with this.
“治疗”意指将与病状或病症(例如,疾病)相关的症状全部或部分的缓解,或停止这些症状的进一步进展或恶化,或防止(prevention)或预防(prophylaxis)所述疾病或病症。同样,如在本文中使用,"Treating" means alleviating, in whole or in part, the symptoms associated with a condition or disorder (eg, a disease), or stopping the further progression or worsening of these symptoms, or preventing or prophylaxis of the disease or disorder. Likewise, as used in this article,
“有效量”指将与病状或病症相关的症状全部或部分的缓解,或停止这些症状的进一步进展或恶化,或防止所述疾病或病症或提供对所述疾病或病症的预防的化合物的量。举例而言,在治疗肥胖中,所需治疗结果的实例是体重增加的减慢或停止,或者体重的减少。"Effective amount" refers to the amount of a compound that will relieve all or part of the symptoms associated with a condition or disorder, or stop the further progression or worsening of these symptoms, or prevent or provide prophylaxis against said disease or disorder . For example, in the treatment of obesity, an example of a desired therapeutic outcome is a slowing or cessation of weight gain, or a decrease in body weight.
实施例中所材料均为市售产品,C57BL/6J小鼠,雄性,8周,20-22g,购买于华阜康公司;高脂饲料:购买于MP公司,60%kcal的高脂饲料0296044910-i;所有动物实验都严格按照《实验动物管理和使用指南》的要求,并取得首都医科大学实验动物管理委员会的许可。兰索拉唑购买于源叶生物有限公司,CAS 103577-45-3,分子式:C16H14F3N3O2S,白色固体,平均分子量369.36。The materials in the examples are all commercially available products, C57BL/6J mice, male, 8 weeks, 20-22g, purchased from Huafukang Company; high-fat feed: purchased from MP Company, 60% kcal high-fat feed 0296044910 -i; All animal experiments were strictly in accordance with the requirements of the "Guidelines for the Management and Use of Experimental Animals" and were approved by the Experimental Animal Management Committee of Capital Medical University. Lansoprazole was purchased from Yuanye Biological Co., Ltd., CAS 103577-45-3, molecular formula: C16H14F3N3O2S, white solid, average molecular weight 369.36.
本发明中,C57BL/6J小鼠给药时,给药组为给予小鼠溶于2.5%DMSO/生理盐水的兰索拉唑溶液;溶剂(Vehicle)组为给予小鼠2.5%DMSO/生理盐水。In the present invention, when C57BL/6J mice are administered, the administration group is to give mice the lansoprazole solution dissolved in 2.5% DMSO/normal saline; the solvent (Vehicle) group is to give mice 2.5% DMSO/normal saline .
实施例1高脂饮食的肥胖模型试验Obesity model test of embodiment 1 high-fat diet
以高脂饲料(60%kcal的高脂饲料)饲养野生型小鼠10周,监测小鼠体重,食物摄取量。高脂饮食10周后,小鼠体重平均增加至30g以上,形成了小鼠的高脂饮食肥胖模型。高脂饲料诱发肥胖的小鼠随机分为两组,分别连续皮下注射溶剂(2.5%DMSO/生理盐水,Vehicle组)或兰索拉唑(溶于2.5%DMSO/生理盐水的兰索拉唑溶液,给药组LPZ),继续给予小鼠高脂饮食,并监测小鼠体重及摄食量。The wild-type mice were fed with high-fat diet (60% kcal high-fat diet) for 10 weeks, and the body weight and food intake of the mice were monitored. After 10 weeks of high-fat diet, the average body weight of the mice increased to more than 30 g, forming a high-fat diet obesity model for mice. The mice that high-fat diet induces obesity are divided into two groups at random, respectively continuous subcutaneous injection solvent (2.5%DMSO/normal saline, Vehicle group) or lansoprazole (lansoprazole solution dissolved in 2.5%DMSO/normal saline , administration group LPZ), continued to give the mice a high-fat diet, and monitored the body weight and food intake of the mice.
连续皮下注射给药3周后进行胰岛素敏感性实验,包括葡萄糖耐量实验和胰岛素耐量实验,见实施例2。给药5周时进行CT分析,最后收集小鼠组织。同时收集棕色脂肪(BAT),腹股沟皮下脂肪(iWAT)和白色附睾脂肪(eWAT),并分别称重、统计各脂肪组织的重量百分比。After 3 weeks of continuous subcutaneous injection, insulin sensitivity test, including glucose tolerance test and insulin tolerance test, see Example 2. CT analysis was performed at 5 weeks after administration, and mouse tissues were collected at the end. At the same time, brown fat (BAT), inguinal subcutaneous fat (iWAT) and white epididymal fat (eWAT) were collected, weighed, and the weight percentage of each fat tissue was counted.
试验结果如图1、2和3所示。图1显示了0-15周中小鼠体重随时间的变化,给药时间点11-15周。在前10周,小鼠由于持续摄取高脂饮食,带来了体重的持续上升。给药后,溶剂组小鼠体重变化趋势不变,而给药组小鼠体重增幅减缓,图2显示了给药后第10-13周小鼠体重变化占小鼠体重百分比随时间的变化。可以看出溶剂组和给药组小鼠体重变化趋势差异明显,在溶剂组中,小鼠体重增长幅度为20%,而给药组小鼠体重仅增长不到5%。给药过程对采食量的观察显示小鼠采食量并未因为注射药物带来上升或下降(图3)。综上所述,兰索拉唑给药3周后,兰索拉唑组小鼠相对于溶剂组体重增长明显下降,进食量没有差异,说明兰索拉唑可以降低高脂饮食引起的体重增加。The test results are shown in Figures 1, 2 and 3. Figure 1 shows the changes in body weight of mice over time from 0 to 15 weeks, and the administration time point is 11 to 15 weeks. During the first 10 weeks, the mice continued to gain weight due to the continuous intake of a high-fat diet. After administration, the body weight change trend of the mice in the solvent group remained unchanged, while the weight gain of the mice in the administration group slowed down. Figure 2 shows the change in the percentage of body weight of the mice in the 10th to 13th weeks after administration over time. It can be seen that the weight change trend of the mice in the solvent group and the administration group is significantly different. In the solvent group, the body weight of the mice increases by 20%, while the body weight of the mice in the administration group only increases by less than 5%. The observation of the feed intake during the drug administration showed that the feed intake of the mice did not increase or decrease due to the injection of the drug (Figure 3). In summary, after 3 weeks of administration of lansoprazole, the weight gain of mice in the lansoprazole group decreased significantly compared to the solvent group, and there was no difference in food intake, indicating that lansoprazole can reduce the weight gain caused by a high-fat diet .
给药后两组小鼠的棕色脂肪(BAT)、腹股沟皮下脂肪(iWAT)和白色附睾脂肪(eWAT)重量结果见图4,兰索拉唑给药组的棕色脂肪重量百分比高于溶剂组,有显著性差异。内脏脂肪重量百分比低于溶剂组,有显著性差异。而二者的皮下脂肪重量百分比无差异。实验结果显示兰索拉唑对于脂肪的影响主要体现在增加棕色脂肪比例,降低内脏脂肪比例,而对皮下脂肪影响较小。The brown fat (BAT), inguinal subcutaneous fat (iWAT) and white epididymal fat (eWAT) weight results of two groups of mice after administration are shown in Figure 4, and the brown fat weight percentage of lansoprazole administration group is higher than solvent group, There are significant differences. The weight percentage of visceral fat was lower than that of the solvent group, and there was a significant difference. There was no difference in the weight percentage of subcutaneous fat between the two groups. The experimental results show that the effect of lansoprazole on fat is mainly reflected in increasing the proportion of brown fat and reducing the proportion of visceral fat, but has little effect on subcutaneous fat.
小鼠身体成分分析结果见图5,图5分别展示了CT测定溶剂组与兰索拉唑给药组脂肪体积以及骨体积比较。CT数据表明兰索拉唑给药组脂肪体积明显小于溶剂组,有显著性差异,但是骨体积在两组中无差异,说明兰索拉唑给药组小鼠体重下降主要原因是脂肪含量降低。The results of the body composition analysis of the mice are shown in Figure 5, and Figure 5 shows the comparison of fat volume and bone volume in the solvent group and the lansoprazole-administered group by CT respectively. The CT data showed that the fat volume of the lansoprazole administration group was significantly smaller than that of the solvent group, and there was a significant difference, but there was no difference in the bone volume between the two groups, indicating that the main reason for the weight loss of the mice in the lansoprazole administration group was that the fat content decreased .
实施例2胰岛素敏感实验Embodiment 2 insulin sensitivity test
葡萄糖耐量实验(Glucose tolerance test):Vehicle组和兰索拉唑给药组小鼠禁食16h后经尾静脉取血测定初始血糖值(0时间点),腹腔注射葡萄糖(2g/kg)后每0.5h经尾静脉取血测定血糖值。共测定2h。Glucose tolerance test (Glucose tolerance test): Vehicle group and lansoprazole administration group mice are fasted 16h after taking blood to measure initial blood glucose value (0 time point) through tail vein, intraperitoneal injection of glucose (2g/kg) after each Blood was taken from the tail vein at 0.5h to measure the blood glucose level. A total of 2h was measured.
胰岛素耐量实验(Insulin tolerance test):Vehicle组和兰索拉唑给药组小鼠禁食4h后经尾静脉取血测定初始血糖值(0时间点),腹腔注射胰岛素(0.5U/kg)后每0.5h尾静脉取血测定血糖值。共测定2h。Insulin tolerance test (Insulin tolerance test): After fasting for 4 hours in the Vehicle group and the lansoprazole-administered group, blood was taken from the tail vein to measure the initial blood glucose value (0 time point), and after intraperitoneal injection of insulin (0.5U/kg) Blood was taken from the tail vein every 0.5 h to determine the blood glucose level. A total of 2h was measured.
葡萄糖耐量实验结果见图6,兰索拉唑给药组的血糖浓度较溶剂组下降迅速,二者有统计学差异。胰岛素耐量实验结果见图7,兰索拉唑给药组的血糖浓度较溶剂组下降迅速,二者有统计学差异?葡萄糖耐量实验和胰岛素耐量实验说明兰索拉唑可以提高小鼠的胰岛素敏感性,改善胰岛素抵抗。The results of the glucose tolerance test are shown in Figure 6. The blood glucose concentration of the lansoprazole administration group decreased rapidly compared with the solvent group, and there was a statistical difference between the two. The results of the insulin tolerance test are shown in Figure 7. The blood glucose concentration of the lansoprazole administration group decreased rapidly compared with the solvent group. Is there a statistical difference between the two? Glucose tolerance test and insulin tolerance test show that lansoprazole can improve insulin sensitivity and insulin resistance in mice.
实施例3棕色脂肪产热相关基因研究Example 3 Research on genes related to brown fat thermogenesis
取实施例1和2给药组和溶剂组小鼠的棕色脂肪进行棕色脂肪产热相关基因mRNA表达量变化研究。采用Trizol法提取组织RNA并逆转录为cDNA,使用qPCR仪测与棕色脂肪产热相关的基因(UCP-1,PRDM-16,DIO2)表达水平,以GAPDH作为内参基因,2-ΔΔCt归一法统计数据。The brown fat of the mice in the administration group and the solvent group of Examples 1 and 2 was taken to study the changes in mRNA expression of genes related to brown fat thermogenesis. Tissue RNA was extracted by Trizol method and reverse-transcribed into cDNA, and the expression level of genes related to brown fat thermogenesis (UCP-1, PRDM-16, DIO2) was measured by qPCR instrument, GAPDH was used as an internal reference gene, and 2 -ΔΔCt normalization method Statistical data.
qPCR结果见图8,结果表明相对于溶剂组,兰索拉唑给药组棕色脂肪中产热相关基因UCP-1、PRDM-16和DIO2表达上调。说明兰索拉唑可能是通过上调棕色脂肪中产热相关基因实现对于能量代谢和胰岛素敏感性的调节作用。The qPCR results are shown in Figure 8. The results showed that compared with the solvent group, the expression of thermogenesis-related genes UCP-1, PRDM-16 and DIO2 in the brown fat of the lansoprazole-administered group was up-regulated. It shows that lansoprazole may regulate energy metabolism and insulin sensitivity by up-regulating thermogenesis-related genes in brown fat.
上述实施例为本发明的部分实施方式,但本发明的实施方式并不受上述实施例的限制,其他的任何未背离本发明的精神实质与原理下所作的改变、修饰、替代、组合、简化,均应为等效的置换方式,都包含在本发明的保护范围之内。The above-mentioned embodiments are part of the implementation of the present invention, but the implementation of the present invention is not limited by the above-mentioned examples, and any other changes, modifications, substitutions, combinations, and simplifications that do not deviate from the spirit and principles of the present invention , all should be equivalent replacement methods, and are all included in the protection scope of the present invention.
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